Level 4 ENT Procedures in Alabama
What 36 hospitals in Alabama charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$33,763
Hospital list price billed
Average allowed
$2,668
Medicare's payment + patient's share
Medicare paid
$2,121
Average per service
State rank
#15 of 48
1 = lowest average payment
Hospitals in Alabama billed an average of $33,763 for level 4 ent procedures, about 12.7 times the average medicare-allowed amount of $2,668. That payment is 5% below the U.S. average of $2,798.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $2,668Billed $33,763
About 8¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 4 ent procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Alabama
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Crestwood Medical CenterHuntsville, AL | $2,549 |
|---|---|
| Grandview Medical CenterBirmingham, AL | $2,680 |
| University of Alabama HospitalBirmingham, AL | $2,688 |
Highest
| University of Alabama HospitalBirmingham, AL | $2,688 |
|---|---|
| Grandview Medical CenterBirmingham, AL | $2,680 |
| Crestwood Medical CenterHuntsville, AL | $2,549 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Alabama?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 36 hospitals in Alabama was billed at $33,763 on average, while the average medicare-allowed amount was $2,668, of which Medicare paid $2,121. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Alabama, average charges were 12.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.